Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest

TCA occurs soon after injury, with only a brief window available for effective intervention. This study found that resuscitative thoracotomy is feasible in a mature, physician-led, urban prehospital system and is associated with improved survival for patients with out-of-hospital TCA, particularly when caused by cardiac tamponade, in situations where other treatment options are limited.

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Publication Details

Journal
JAMA Surgery
Published
2025-02-26
DOI
https://doi.org/10.1001/jamasurg.2024.7245
Citations
29
Primary Topic
Trauma Management and Diagnosis
Type
article
Field-Weighted Citation Impact
58.19
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article

Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest

Robert Greenhalgh, Christian Sandrock, Liz Foster, David Lockey et al.
29 citations
JAMA Surgery
Trauma Management and Diagnosis
58.19
article

Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest

Robert Greenhalgh, Christian Sandrock, Liz Foster, David Lockey, Andrew Whitehouse, Shadman Aziz, Laura Kocierz, Richard Carden, Zane Perkins, Tom Hurst, Ewoud ter Avest, Stephen H. Thomas, Robbie Lendrum, Frank Chege, Susan Read, Gareth E. Davies, Christine Henry
article en
29 citations

Abstract

TCA occurs soon after injury, with only a brief window available for effective intervention. This study found that resuscitative thoracotomy is feasible in a mature, physician-led, urban prehospital system and is associated with improved survival for patients with out-of-hospital TCA, particularly when caused by cardiac tamponade, in situations where other treatment options are limited.

JAMA SurgeryVol. 160(4)
Beth Israel Deaconess Medical Center (US), University Medical Center Groningen (NL), Harvard University (US), University of British Columbia (CA), Queen Mary University of London (GB), University of Groningen (NL), Barts Health NHS Trust (GB), Noble’s Hospital (IM), London Ambulance Service NHS Trust (GB)
Good health and well-being
Openalex Percentile: Top 0%
Trauma Management and Diagnosis
58.19
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